Nursing home
Merrimack County Nursing Home
325 Daniel Webster Highway, Boscawen, NH 03303 · Map
Government - County · 290 certified beds
Merrimack County Nursing Home is a Medicare-certified nursing home in Boscawen, New Hampshire. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.78 hours per resident per day, above the New Hampshire average of 3.88. Its most recent inspection on Feb 28, 2025 cited 3 deficiencies.
- 1 fine totaling $15,646In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Merrimack County Nursing Home compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.78 | 3.88 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.42 | 2.39 | 2.34 | above avg |
| Nursing staff turnover | 38.6% | 48.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 4.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $15,646, 1 total penalty.
What inspectors found at Merrimack County Nursing Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Feb 28, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 28, 2025 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Feb 28, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 21, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Mar 2, 2023 - Potential for harm
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Nutrition and Dietary Deficiencies · Mar 2, 2023 - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Mar 2, 2023 - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Mar 2, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 325 Daniel Webster Highway
Boscawen, NH 03303 - CMS certification #
- 305056
- Ownership
- Government - County
- Certified beds
- 290
- Avg residents/day
- 273.2
- Provider type
- Medicare and Medicaid
- First certified
- 1996-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Merrimack County Nursing Home using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Merrimack County Nursing Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
We also provide hospice care through several contracted agencies in order to maintain dignity, care, and comfort through the end-of-life process.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Concord Hospital- Franklin, Franklin. 6.1 miles away, straight line.
- Nearest Medicare nursing home
- Mountain Ridge Center, Genesis HealthCare, Franklin. 5.6 miles away, straight line.
- Nearest home health agency office
- Franklin Vna & Hospice, Franklin. 6.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 6.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03303 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Lakes Region, Tilton, 8.5 miles away, straight line (CMS rating 2 of 5 stars)
Fmc New Hampshire Kidney Center (Fmc), Concord, 12.1 miles away, straight line (CMS rating 1 of 5 stars)
Central New Hampshire Kidney Center, Laconia, 14.9 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 03303.
Franklin Vna & Hospice, office in Franklin, 6.3 miles away, straight line
Bayada Hospice, office in Concord, 11.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Granite Vna, Inc., office in Concord, 12.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Raphael Farra, MD, Manchester. 25.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Merrimack County Nursing Home a good nursing home?
CMS gives Merrimack County Nursing Home an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Merrimack County Nursing Home staffed?
Merrimack County Nursing Home reports 4.78 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Merrimack County Nursing Home had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Merrimack County Nursing Home have?
Merrimack County Nursing Home is certified for 290 beds.